Appeals Court Overturns WCAB For Medical Necessity Decisions

The Second District Court of Appeal overturned another Workers’ Compensation Appeals Board decision. This one held that an employer had to show a change in an injured worker’s medical condition before utilization review can deny a renewed request for home health services. The DCA ruled that medical professionals, not lay personnel at the WCAB, must … Read More »

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WCAB Can Apply Equitable Tolling In Limited Cases

The Sixth District Court of Appeal says the Workers’ Compensation Appeals Board properly applied the Shipley decision when it acted upon a petition for reconsideration beyond the 60-day statutory deadline, but says the exception is far narrower than the Board contends. In deciding the case, the court rejected a request to stay the proceeding pending … Read More »

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En Banc Decision: Second Chance To Avoid CT Claim

A Chicago-based minor league professional baseball team will get a second chance to fight being brought into a California workers’ comp cumulative trauma claim by a former player. The Workers’ Compensation Appeals Board granted reconsideration, ordering the workers’ comp judge to hear and consider testimony that he had blocked the team from providing the first … Read More »

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Alleged Cappers Referred Over 13,000 Cases

Criminal charges are filed and pending against a husband-and-wife duo who allegedly ran a workers’ comp capping scheme that has “referred in excess of 13,467 prospective clients’ cases, and applicants to attorneys or law firms.” Orange County District Attorney Todd Spitzer filed the cases. Two applicants’ attorneys have been criminally charged so far. Sources say … Read More »

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Tesla Challenges Willful Serious Bump Up

Tesla Motors is asking the Workers’ Compensation Appeals Board to reconsider a workers’ comp judge’s finding that a Tesla employee was severely injured due to the company’s serious and willful disregard for safety at the job site. Tesla maintains that the trial judge, Therese Da Silva, based the finding on cherry-picked testimony and ignored evidence … Read More »

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Appeals Court Upholds FEHA Dismissal

In a case where an employee was fired for violating a workplace safety rule, the Second District Court of Appeal sustained a lower court’s order granting summary judgment in favor of the employer in a discrimination lawsuit by a former employee. The employee had been fired once before but was back working under a “last … Read More »

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